MEDICARE: CYNTHIA ANN MOORE LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	4703117373	MI

General Provider Information

NPI Number	:	1104651538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ANN MOORE LPN

Provider Business Mailing Address
First Line	:	3917 RIVERS PT
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48161-9095
Country	:	US
Telephone Number	:	419-464-8854
Fax Number	:

Provider Business Practice Location Address
First Line	:	3917 RIVERS PT
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48161-9095
Country	:	US
Telephone Number	:	419-464-8854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	09/05/2024

Similar Medicare Providers

1942704804 — WHO NEEDS A RIDE,LLC
Practice Location Address:

320 FORTY OAKS FARM RD
WEST MONROE, LA
71291-9095

Practice Phone: 318-267-1693
Practice Fax:

1386994200 — MRS. HUEIDESIA LADOROTHY HENDERSON TONEY MA, LPC
Practice Location Address:

388 FORTY OAKS FARM RD
WEST MONROE, LA
71291-9095

Practice Phone: 318-366-2544
Practice Fax:

1407713886 — CORNERSTONE CAREGIVING EAST LLC
Practice Location Address:

23 E FRONT ST STE 101
MONROE, MI
48161-2256

Practice Phone: 734-322-9822
Practice Fax:

1447253760 — DR. TANVIR I QURESHI MD PC
Practice Location Address:

5290 W. BROOKSHIRE COURT
MONROE, MI
48161-3798

Practice Phone: 734-242-5544
Practice Fax: 734-457-6610

1639173214 — LUTHERAN HOMES OF MICHIGAN INC
Practice Location Address:

1236 S MONROE STREET , HOME FOR THE AGED
MONROE, MI
48161-3998

Practice Phone: 734-241-9533
Practice Fax: 734-241-9108

1417951146 — LUTHERAN HOMES OF MICHIGAN, INC
Practice Location Address:

1236 S MONROE ST
MONROE, MI
48161-3934

Practice Phone: 734-241-9533
Practice Fax: 734-241-9108

Directions to “ CYNTHIA ANN MOORE LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.